Individual provider · Type 1 NPI

Angela Maria Gervacio, LPC

Mental Health Counselor · Downers Grove, IL

NPI number 1093107385 Active

Practice location

1001 Maple Ave
Downers Grove, IL 60515-4928

Call (630) 353-0697 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.008051 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1093107385

Angela Maria Gervacio, LPC's National Provider Identifier is 1093107385, issued on Feb 24, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Downers Grove, IL. The record was last updated on Feb 24, 2015.